So I went to sit down in a chair two Sundays ago and was gripped with a sensation of "Hey wow that hurts" knee pain. I have two small children and that is how I expressed it rather than the more traditional and satisfying "holy f... That hurts!" .
Two things: firstly I am a guy and so am in some need of a few "there-there" type expressions of sympathy.
Secondly: the pain is in the front and top of my right knee cap and is MUCH worse when taking off at the lights/climbing etc. however it also seems to get marginally better as I ride but then a few hours later after being off the bike it stars to hurt in an alarming manner.
I'm trying to work out if it is cycling related or just one of those bodily malfunctions that occurs as we approach 40.

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This type of pain can be due to the bike fit. If that does not appear to be the answer, suggest that you find a cycling sports physio and ask him/her. You could ask SportsMed if they can recommend a suitable physio.

Thanks Heather, I'm lucky, my gp is a sports medicine guy I've made an appointment to see him next weekend. I originally gave up cycling as a teenager after a physio told me that my knees were too poor to ride so I am a bit nervous that my cycling days are numbered, which I am sure they are not.
Get it checked out, you have hit ur prime in life and don't take a chance, key hole surgery on knees are a walk in the park these days!

i'd suspect that recently you've been pushing some bigger gears than you're used to, or going up some steeper hills than usual. Basically, you've pushed yourself a little too much, too soon.

back it off a bit, spin in some lower gears when you are on the bike, ice the knee and maybe take some anti inflammatory medication (eg nurofen)

I had a similar thing early in summer but not quite as painful by the sounds!- I think it was the above - not spinning enough.

Took it easier and hasn't flared up again.

That's what I keep reading, but if anything I've gone easier lately!

there-there

Thanks Matt!

Im surprised you didnt tell David to BTFU...lol

I'm surprised too!

I've told myself to!

On a serious note though David, it sounds awfully like incorrect bike fit to me. I have suffered from similar symptoms during and after riding and after a professional bike fit, it is amazing how pain like that in knees no longer exists. 

Noel at the bike station does a professional fit for a small sum of money or free if you buy a new bike from him. Takes about half hour to an hour to get all your measurements right, but man is it worth it. Your comfort levels improve and you just enjoy your riding far more.

I was fitted at Turtur's they do a pretty good job - I've probably done about 3,000km since I bought it, without issue.

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